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General NPI Number Information
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NPI Number | 1013159763
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Entity Type | Individual
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Provider Name | BIANCA DORINA ALFONSO MD
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Gender | Female
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Dates
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Enumeration Date | 03/26/2009
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 6141 SUNSET DR STE 403
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5026
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Country | US
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Telephone | 305-665-2300
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Fax | 305-669-8966
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Provider Business Mailing Address
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Address Line | 6141 SUNSET DR STE 403
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City | SOUTH MIAMI
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State | FL
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Zip | 33143-5026
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Country | US
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Telephone | 305-665-2300
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Fax | 305-669-8966
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | ME 109946
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License Number State | FL
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